CONNIE BAINE (NPI# 1760674691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760674691 |
Entity Type | Individual |
Full Name | CONNIE BAINE |
Credential | RDH |
Practice Address |
703 E Nance St Mesa AZ 85203-1027 |
Practice Telephone | 4808332418 |
Practice Fax Number | 4806998682 |
Mailing Telephone | 4808332418 |
Mailing Fax Number | 4806998682 |
Enumeration Date | 2007-08-14 |
Last Update Date | 2007-08-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | H 1144 | AZ | Dental Providers |
Street Address |
703 E NANCE ST |
City | MESA |
State | AZ |
Zip Code | 85203-1027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
Find all providers in zip 85203 |
Taxonomy Code | 124Q00000X |
Grouping | Dental Providers |
Classification | Dental Hygienist |
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568691863 | Kathleen Ann Ruffin | Dental Hygienist | 2855 E. Brown Rd, Suite 15, Mesa, AZ 85213 | 2009-07-08 |
1811123425 | Patricia A Price | Dental Hygienist | 7536 E Hannibal Cir, Mesa, AZ 85207-4824 | 2009-06-10 |
1093967945 | Synergy Dental Group, Plc | Dental Hygienist | 3549 E Brown Rd Ste 104, Mesa, AZ 85213-5508 | 2008-10-22 |
1508079591 | Mary Mindy Hoffmann | Dental Hygienist | 1905 E. Mckellips Road, Mesa, AZ 85203 | 2007-05-07 |
1417573577 | Carlos A Briseno | Dental Hygienist | 1705 W Main St, Mesa, AZ 85201-6920 | 2020-06-24 |
1295399376 | Talia Shumway Gubler | Dental Hygienist | 2158 N Gilbert Rd Ste 123, Mesa, AZ 85203-2111 | 2019-04-24 |
1356851489 | Jean Marie Brady | Dental Hygienist | 1705 W Main St, Mesa, AZ 85201-6920 | 2017-10-03 |
1821446154 | Jonetta Podmanik | Dental Hygienist | 5835 E Still Cir, Mesa, AZ 85206-3618 | 2016-05-26 |
1396192985 | Colleen Trombly | Dental Hygienist | 5835 E Still Cir, Mesa, AZ 85206-3618 | 2016-05-24 |
1720394513 | Jessica Joy Kenney | Dental Hygienist | 4355 E University Dr, Suite 103, Mesa, AZ 85205-7000 | 2010-08-31 |
Find all providers in MESA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.